Provider Demographics
NPI:1639977895
Name:MUSTARD SEED HEALTH AND WELLBEING
Entity type:Organization
Organization Name:MUSTARD SEED HEALTH AND WELLBEING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SENG
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:719-204-3492
Mailing Address - Street 1:1890 BLUFF ST
Mailing Address - Street 2:
Mailing Address - City:CANON CITY
Mailing Address - State:CO
Mailing Address - Zip Code:81212-9422
Mailing Address - Country:US
Mailing Address - Phone:719-204-3492
Mailing Address - Fax:
Practice Address - Street 1:2951 E US HIGHWAY 50
Practice Address - Street 2:
Practice Address - City:CANON CITY
Practice Address - State:CO
Practice Address - Zip Code:81212-2701
Practice Address - Country:US
Practice Address - Phone:719-204-3480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty